Prevalence of HIV and Disease Outcomes on the Medical and Surgical Wards at Kamuzu Central Hospital, Lilongwe, Malawi.
Identifieur interne : 001383 ( PubMed/Curation ); précédent : 001382; suivant : 001384Prevalence of HIV and Disease Outcomes on the Medical and Surgical Wards at Kamuzu Central Hospital, Lilongwe, Malawi.
Auteurs : Claire E. Kendig [Malawi] ; Denise J. Mcculloch [Malawi] ; Nora E. Rosenberg [Malawi] ; Jonathan C. Samuel ; Charles Mabedi ; Carol G. Shores ; Mina C. Hosseinipour ; Mitch Matoga ; Anthony G. CharlesSource :
- Tropical medicine and health [ 1348-8945 ] ; 2013.
Abstract
The World Health Organization (WHO) recommends HIV Counseling and Testing (HCT) in a range of clinical settings. We describe the characteristics of patients diagnosed with HIV on the medical and surgical wards at a tertiary care hospital in Malawi.
DOI: 10.2149/tmh.2013-12
PubMed: 24505214
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Jonathan C. Samuel<affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</nlm:affiliation><wicri:noCountry code="subField">Division of Trauma and Critical Care Surgery</wicri:noCountry></affiliation><affiliation><nlm:affiliation>Kamuzu Central Hospital, Department of Surgery.</nlm:affiliation><wicri:noCountry code="subField">Department of Surgery</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Otolaryngology/Head & Neck Surgery.</nlm:affiliation><wicri:noCountry code="subField">Department of Otolaryngology/Head & Neck Surgery</wicri:noCountry></affiliation><affiliation><nlm:affiliation>UNC Project, Lilongwe, Malawi ; University of North Carolina Chapel Hill, Department of Medicine, Division of Infectious Diseases.</nlm:affiliation><wicri:noCountry code="subField">Division of Infectious Diseases</wicri:noCountry></affiliation><affiliation><nlm:affiliation>UNC Project, Lilongwe, Malawi ; Kamuzu Central Hospital, Department of Medicine.</nlm:affiliation><wicri:noCountry code="subField">Department of Medicine</wicri:noCountry></affiliation><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</nlm:affiliation><wicri:noCountry code="subField">Division of Trauma and Critical Care Surgery</wicri:noCountry></affiliation>Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Prevalence of HIV and Disease Outcomes on the Medical and Surgical Wards at Kamuzu Central Hospital, Lilongwe, Malawi.</title><author><name sortKey="Kendig, Claire E" sort="Kendig, Claire E" uniqKey="Kendig C" first="Claire E" last="Kendig">Claire E. Kendig</name><affiliation wicri:level="1"><nlm:affiliation>UNC Project, Lilongwe, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Mcculloch, Denise J" sort="Mcculloch, Denise J" uniqKey="Mcculloch D" first="Denise J" last="Mcculloch">Denise J. Mcculloch</name><affiliation wicri:level="1"><nlm:affiliation>UNC Project, Lilongwe, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Rosenberg, Nora E" sort="Rosenberg, Nora E" uniqKey="Rosenberg N" first="Nora E" last="Rosenberg">Nora E. Rosenberg</name><affiliation wicri:level="1"><nlm:affiliation>UNC Project, Lilongwe, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Samuel, Jonathan C" sort="Samuel, Jonathan C" uniqKey="Samuel J" first="Jonathan C" last="Samuel">Jonathan C. Samuel</name><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</nlm:affiliation><wicri:noCountry code="subField">Division of Trauma and Critical Care Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Mabedi, Charles" sort="Mabedi, Charles" uniqKey="Mabedi C" first="Charles" last="Mabedi">Charles Mabedi</name><affiliation><nlm:affiliation>Kamuzu Central Hospital, Department of Surgery.</nlm:affiliation><wicri:noCountry code="subField">Department of Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Shores, Carol G" sort="Shores, Carol G" uniqKey="Shores C" first="Carol G" last="Shores">Carol G. Shores</name><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Otolaryngology/Head & Neck Surgery.</nlm:affiliation><wicri:noCountry code="subField">Department of Otolaryngology/Head & Neck Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C" last="Hosseinipour">Mina C. Hosseinipour</name><affiliation><nlm:affiliation>UNC Project, Lilongwe, Malawi ; University of North Carolina Chapel Hill, Department of Medicine, Division of Infectious Diseases.</nlm:affiliation><wicri:noCountry code="subField">Division of Infectious Diseases</wicri:noCountry></affiliation></author><author><name sortKey="Matoga, Mitch" sort="Matoga, Mitch" uniqKey="Matoga M" first="Mitch" last="Matoga">Mitch Matoga</name><affiliation><nlm:affiliation>UNC Project, Lilongwe, Malawi ; Kamuzu Central Hospital, Department of Medicine.</nlm:affiliation><wicri:noCountry code="subField">Department of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Charles, Anthony G" sort="Charles, Anthony G" uniqKey="Charles A" first="Anthony G" last="Charles">Anthony G. Charles</name><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</nlm:affiliation><wicri:noCountry code="subField">Division of Trauma and Critical Care Surgery</wicri:noCountry></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2013">2013</date><idno type="RBID">pubmed:24505214</idno><idno type="pmid">24505214</idno><idno type="doi">10.2149/tmh.2013-12</idno><idno type="wicri:Area/PubMed/Corpus">001383</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">001383</idno><idno type="wicri:Area/PubMed/Curation">001383</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">001383</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Prevalence of HIV and Disease Outcomes on the Medical and Surgical Wards at Kamuzu Central Hospital, Lilongwe, Malawi.</title><author><name sortKey="Kendig, Claire E" sort="Kendig, Claire E" uniqKey="Kendig C" first="Claire E" last="Kendig">Claire E. Kendig</name><affiliation wicri:level="1"><nlm:affiliation>UNC Project, Lilongwe, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Mcculloch, Denise J" sort="Mcculloch, Denise J" uniqKey="Mcculloch D" first="Denise J" last="Mcculloch">Denise J. Mcculloch</name><affiliation wicri:level="1"><nlm:affiliation>UNC Project, Lilongwe, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Rosenberg, Nora E" sort="Rosenberg, Nora E" uniqKey="Rosenberg N" first="Nora E" last="Rosenberg">Nora E. Rosenberg</name><affiliation wicri:level="1"><nlm:affiliation>UNC Project, Lilongwe, Malawi.</nlm:affiliation><country xml:lang="fr">Malawi</country><wicri:regionArea>UNC Project, Lilongwe</wicri:regionArea></affiliation></author><author><name sortKey="Samuel, Jonathan C" sort="Samuel, Jonathan C" uniqKey="Samuel J" first="Jonathan C" last="Samuel">Jonathan C. Samuel</name><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</nlm:affiliation><wicri:noCountry code="subField">Division of Trauma and Critical Care Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Mabedi, Charles" sort="Mabedi, Charles" uniqKey="Mabedi C" first="Charles" last="Mabedi">Charles Mabedi</name><affiliation><nlm:affiliation>Kamuzu Central Hospital, Department of Surgery.</nlm:affiliation><wicri:noCountry code="subField">Department of Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Shores, Carol G" sort="Shores, Carol G" uniqKey="Shores C" first="Carol G" last="Shores">Carol G. Shores</name><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Otolaryngology/Head & Neck Surgery.</nlm:affiliation><wicri:noCountry code="subField">Department of Otolaryngology/Head & Neck Surgery</wicri:noCountry></affiliation></author><author><name sortKey="Hosseinipour, Mina C" sort="Hosseinipour, Mina C" uniqKey="Hosseinipour M" first="Mina C" last="Hosseinipour">Mina C. Hosseinipour</name><affiliation><nlm:affiliation>UNC Project, Lilongwe, Malawi ; University of North Carolina Chapel Hill, Department of Medicine, Division of Infectious Diseases.</nlm:affiliation><wicri:noCountry code="subField">Division of Infectious Diseases</wicri:noCountry></affiliation></author><author><name sortKey="Matoga, Mitch" sort="Matoga, Mitch" uniqKey="Matoga M" first="Mitch" last="Matoga">Mitch Matoga</name><affiliation><nlm:affiliation>UNC Project, Lilongwe, Malawi ; Kamuzu Central Hospital, Department of Medicine.</nlm:affiliation><wicri:noCountry code="subField">Department of Medicine</wicri:noCountry></affiliation></author><author><name sortKey="Charles, Anthony G" sort="Charles, Anthony G" uniqKey="Charles A" first="Anthony G" last="Charles">Anthony G. Charles</name><affiliation><nlm:affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</nlm:affiliation><wicri:noCountry code="subField">Division of Trauma and Critical Care Surgery</wicri:noCountry></affiliation></author></analytic><series><title level="j">Tropical medicine and health</title><idno type="ISSN">1348-8945</idno><imprint><date when="2013" type="published">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The World Health Organization (WHO) recommends HIV Counseling and Testing (HCT) in a range of clinical settings. We describe the characteristics of patients diagnosed with HIV on the medical and surgical wards at a tertiary care hospital in Malawi.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">24505214</PMID><DateCreated><Year>2014</Year><Month>02</Month><Day>07</Day></DateCreated><DateCompleted><Year>2014</Year><Month>02</Month><Day>07</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>20</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">1348-8945</ISSN><JournalIssue CitedMedium="Print"><Volume>41</Volume><Issue>4</Issue><PubDate><Year>2013</Year><Month>Dec</Month></PubDate></JournalIssue><Title>Tropical medicine and health</Title><ISOAbbreviation>Trop Med Health</ISOAbbreviation></Journal><ArticleTitle>Prevalence of HIV and Disease Outcomes on the Medical and Surgical Wards at Kamuzu Central Hospital, Lilongwe, Malawi.</ArticleTitle><Pagination><MedlinePgn>163-70</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.2149/tmh.2013-12</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">The World Health Organization (WHO) recommends HIV Counseling and Testing (HCT) in a range of clinical settings. We describe the characteristics of patients diagnosed with HIV on the medical and surgical wards at a tertiary care hospital in Malawi.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Under the universal opt-out HCT protocol we characterized the number of new HIV/AIDS infections and associated clinical features among hospitalized surgical and medical patients diagnosed during the course of admission.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">All 2985 and 3959 medical and surgical patients, respectively, admitted between April 2012 and January 2013 were screened for HCT. 62% and 89% of medical and surgical patients, respectively, had an unknown status on admission and qualified for testing. Of the patients with an unknown status, a new HIV diagnosis was made in 20% and 7% of medical and surgical patients, respectively. Of the newly diagnosed patients with a CD4 count recorded, 91% and 67% of medical and surgical patients, respectively, had a count less than 350, qualifying for ART by Malawi ART guidelines. Newly HIV-diagnosed medical and surgical patients had an inpatient mortality of 20% and 2%, respectively.</AbstractText><AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">While newly diagnosed HIV-positive medical patients had high inpatient mortality and higher rates of WHO stage 3 or 4 conditions, surgical patients presented with less advanced HIV, though still meeting ART initiation guidelines. The medical inpatient wards are an obvious choice for implementing voluntary counseling and testing (VCT), but surgical patients present with less advanced disease and starting treatment in this group could result in more years of life gained.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Kendig</LastName><ForeName>Claire E</ForeName><Initials>CE</Initials><AffiliationInfo><Affiliation>UNC Project, Lilongwe, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>McCulloch</LastName><ForeName>Denise J</ForeName><Initials>DJ</Initials><AffiliationInfo><Affiliation>UNC Project, Lilongwe, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Rosenberg</LastName><ForeName>Nora E</ForeName><Initials>NE</Initials><AffiliationInfo><Affiliation>UNC Project, Lilongwe, Malawi.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Samuel</LastName><ForeName>Jonathan C</ForeName><Initials>JC</Initials><AffiliationInfo><Affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mabedi</LastName><ForeName>Charles</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Kamuzu Central Hospital, Department of Surgery.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shores</LastName><ForeName>Carol G</ForeName><Initials>CG</Initials><AffiliationInfo><Affiliation>University of North Carolina Chapel Hill, Department of Otolaryngology/Head & Neck Surgery.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Hosseinipour</LastName><ForeName>Mina C</ForeName><Initials>MC</Initials><AffiliationInfo><Affiliation>UNC Project, Lilongwe, Malawi ; University of North Carolina Chapel Hill, Department of Medicine, Division of Infectious Diseases.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Matoga</LastName><ForeName>Mitch</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>UNC Project, Lilongwe, Malawi ; Kamuzu Central Hospital, Department of Medicine.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Charles</LastName><ForeName>Anthony G</ForeName><Initials>AG</Initials><AffiliationInfo><Affiliation>University of North Carolina Chapel Hill, Department of Surgery, Division of Trauma and Critical Care Surgery.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><GrantList CompleteYN="Y"><Grant><GrantID>K01 TW009486</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>P30 AI050410</GrantID><Acronym>AI</Acronym><Agency>NIAID NIH HHS</Agency><Country>United States</Country></Grant><Grant><GrantID>R25 TW009340</GrantID><Acronym>TW</Acronym><Agency>FIC NIH HHS</Agency><Country>United States</Country></Grant></GrantList><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>11</Month><Day>30</Day></ArticleDate></Article><MedlineJournalInfo><Country>Japan</Country><MedlineTA>Trop Med Health</MedlineTA><NlmUniqueID>101215093</NlmUniqueID><ISSNLinking>1348-8945</ISSNLinking></MedlineJournalInfo><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Trans R Soc Trop Med Hyg. 2007 Feb;101(2):176-82</RefSource><PMID Version="1">16814822</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Bull World Health Organ. 2008 Apr;86(4):302-9</RefSource><PMID Version="1">18438519</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Bull World Health Organ. 2012 Sep 1;90(9):652-658B</RefSource><PMID Version="1">22984309</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Ann R Coll Surg 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RefType="Cites"><RefSource>AIDS Res Ther. 2010 Jan 16;7(1):3</RefSource><PMID Version="1">20180966</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>PLoS One. 2013;8(1):e53193</RefSource><PMID Version="1">23308161</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>J Acquir Immune Defic Syndr. 2005 Aug 1;39(4):446-53</RefSource><PMID Version="1">16010168</PMID></CommentsCorrections></CommentsCorrectionsList><OtherID Source="NLM">PMC3883455</OtherID><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">HIV counseling and testing</Keyword><Keyword MajorTopicYN="N">inpatient</Keyword><Keyword MajorTopicYN="N">medicine</Keyword><Keyword MajorTopicYN="N">sub-Saharan Africa</Keyword><Keyword MajorTopicYN="N">surgery</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>04</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>07</Month><Day>01</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>2</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>2</Month><Day>8</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>2</Month><Day>8</Day><Hour>6</Hour><Minute>1</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24505214</ArticleId><ArticleId IdType="doi">10.2149/tmh.2013-12</ArticleId><ArticleId IdType="pii">tmh-2013-12</ArticleId><ArticleId IdType="pmc">PMC3883455</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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